| Lawrence Alan Short, DPM | |
|
71 Waukegan Road, Suite 200, Lake Bluff, IL 60044-1662 | |
| (847) 295-9301 | |
| (847) 295-9607 |
| Full Name | Lawrence Alan Short |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 71 Waukegan Road, Lake Bluff, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841306008 | NPI | - | NPPES |
| 60021233 | Other | IL | BCBS |
| 363267075 | Other | IL | HUMANA |
| 363267075 | Other | IL | UNICARE |
| 000102466006 | Other | IL | UNITED HEALTH CARE |
| 2502493 | Other | IL | CIGNA |
| 2137407 | Other | IL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 016003095 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Alan Short, DPM 71 Waukegan Rd, Suite 200, Lake Bluff, IL 60044-3009 Ph: (847) 295-9301 | Lawrence Alan Short, DPM 71 Waukegan Road, Suite 200, Lake Bluff, IL 60044-1662 Ph: (847) 295-9301 |
Lawrence A Short Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 71 Waukegan Rd, Suite 200, Lake Bluff, IL 60044 Phone: 847-295-9300 Fax: 847-295-9607 |